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Morris County USD 417

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USD 417 Employee Forms

 

FORMS

 

APPLICATION for SALARY MOVEMENT

Certified Leave Request

School Transportation Provider Disclosure

MILEAGE CLAIM (pdf)

2016-17 Mileage Form (xls)

2016-17 Transportation Form

Student Transportation Disclosure

Request of EXTRA DUTY PAY

Leave Coverage Form

APPLICATION for EARLY RETIREMENT BENEFIT

Notice of Resignation

Behavior Intervention Plan

 

BCBS FORMS

BCBS Drug Reimbursement Form

Mail Order Prescription Form

BCBS Enrollment Form

BCBS Change Form

BCBS Benefit Selection Form if changing Option (deductible)

BCBS Waiver of Enrollment Form

USD 417 Group Health Insurance Summary of Benefits and Coverage

Option 1

Option 2

Option 3

 

 

 

NEW EMPLOYEE FORMS

Verification of Experience (Licensed)

Verification of Experience (Supplemental)

 

Notice of Non-discrimination:   USD #417 does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups. The following person has been designated to handle inquiries regarding the non-discrimination policies: Doug Conwell, 17 S Wood Street, Council Grove, Kansas 66846 (620)767-5192